GREGORY S GORDON (NPI# 1235124777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235124777 |
| Entity Type | Individual |
| Full Name | GREGORY S GORDON |
| Credential | MD |
| Practice Address |
8701 Broadway Merrillville IN 46410-7035 |
| Mailing Address |
20021 Mohawk Trl Olympia Fields IL 60461-1125 |
| Practice Telephone | 2197385510 |
| Practice Fax Number | 2197386714 |
| Mailing Telephone | 7084816894 |
| Mailing Fax Number | 7084814018 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01038358 | IN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 01038358 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100365270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518092089 | Gregory John Gordon | Chiropractor | 1494 S Arlington St, Suite B, Akron, OH 44306-3832 | 2007-02-23 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1427102821 | Gregory D Gordon Jr. | Orthopaedic Surgery | 9150 Huebner Rd Ste 390, San Antonio, TX 78240-1545 | 2007-01-22 |
| 1639105794 | Gregory Andrew Gordon | Psychiatry & Neurology | 232 Market St, Suite 234, Flowood, MS 39232-3339 | 2006-06-23 |
| 1205804267 | Gregory I Gordon | Radiology | 981045 Nebraska Medical Ctr, Omaha, NE 68198-1045 | 2006-03-08 |
| 1295720472 | Gregory J Gordon | Chiropractor | 76 Federal St, Salem, MA 01970-3209 | 2005-09-14 |
| 1871884197 | Gregory Gordon | Community Health Worker | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2011-04-20 |
| 1114959335 | Gregory J Gordon | Anesthesiology | 2500 Metrohealth Dr, Mhmc-anesthesiology, Cleveland, OH 44109-1900 | 2006-07-07 |
| 1548204464 | Gregory R Gordon | Family Medicine | 333 N Oxford Valley Rd, Ste 201, Fairless Hills, PA 19030 | 2006-06-15 |
| 1467492546 | Gregory Peter Gordon | Social Worker | 1101 Lincoln Ave, Evansville, IN 47714-1028 | 2006-06-07 |
| Street Address |
8701 BROADWAY |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-7035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520832 | John Doss | Physician Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-08-31 |
| 1023620945 | Luke Elliot Stanczyk | Physician Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-08-21 |
| 1104434091 | Agnieszka Krynska-wozniak | Physical Therapist | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-16 |
| 1831707918 | Johnnie Mae Gaddy | Physical Therapy Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-15 |
| 1639797327 | Maria Cecilia Patdu Maunes | Physical Therapist | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-08 |
| 1487272175 | Anna Marie Castillo | Physical Therapist | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-08 |
| 1063073401 | Cep America LLC | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2019-06-26 |
| 1285151977 | Michelle June Lee | Physician Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2017-08-24 |
| 1578918108 | Jenee Bhuju | Internal Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2016-05-02 |
| 1417325457 | Samia Katherine Esseddiqi | Nurse Anesthetist, Certified Registered | 8701 Broadway, Merrillville, IN 46410 | 2015-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225001696 | Zahid Hassan | Emergency Medicine | 8700 Broadway, Merrillville, IN 46410-7036 | 2006-02-08 |
| 1063073401 | Cep America LLC | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2019-06-26 |
| 1871707679 | John Stewart Brown IIi | Emergency Medicine | 8683 Connecticut St, Suite B, Merrillville, IN 46410-6388 | 2007-05-10 |
| 1629036363 | Sterling Emergency Services of Indiana, Inc | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2006-05-03 |
| 1487649596 | Leon A Yeh | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2005-09-14 |
| 1962497065 | Richard Wolfe | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2005-09-14 |
| 1912992173 | Michael A Mcgee | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2005-09-14 |
| 1942295118 | Mahesh P Mehta | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2005-09-14 |
| 1114912326 | Geoffrey L Bauer | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358255 | Vyvian Charlene Lawrence | Emergency Medicine | 5939 W Lincoln Hwy, Crown Point, IN 46307-9604 | 2020-08-28 |
| 1508358128 | Antonino Bucca | Emergency Medicine | 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 | 2018-05-30 |
| 1124518931 | Evan Mitchell Landry Tomkiewicz | Emergency Medicine | 720 Eskenazi Ave Fl Ft3, Indianapolis, IN 46202-5187 | 2018-05-16 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
| 1154777613 | Michael J Bojrab | Emergency Medicine | 6720 Kirkdale Dr, Fort Wayne, IN 46815-5524 | 2016-05-13 |
| 1114307063 | Grant Fabian Chernoby | Emergency Medicine | 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 | 2015-06-05 |
| 1457730830 | Patrick Lee Studtman | Emergency Medicine | 615 N. Michigan Street, Emergency Department, South Bend, IN 46601-1033 | 2015-05-19 |
| 1861888430 | Enola Okonkwo | Emergency Medicine | 9785 Valley Springs Blvd, Fishers, IN 46037-8764 | 2015-04-10 |
| 1518355882 | Marlin R. Gray | Emergency Medicine | 925 N. County Rd., 1100e, Otwell, IN 47564 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.